AF_SAN01_Sanitat. Atenció al pacient a l’hospital.Unit 1

UNIT 1CONTINGUT:

Unit 1.-Arrival at hospital:1.1.-Introduction

1.1.1.-Health and illness1.1.2.-Parts of the body1.1.3.-Functions of the body

1.2.-Hospitals1.2.1.-Introduction to a hospital

1.3.-Patient admission

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AF-SAN01-Anglès Tècnic en Sanitat.

Patient attention at hospital

1.-Arrival at hospital2.-Characteristics of the patient's room 3.-The diary TCAI

activities in hospital

1

DAY ACTIVITIES MATERIAL 1 INTRODUCTION:

1.1.1.-Health and illness:1. Asking about health (15 min)

2. Introducing medical words oneself orally and completing table exercises (10 min.)

3. Learning words of different parts of the body to describe patients’ problems and pains. Listening about parts of the body (15 min.)

4. Writing and reading about parts of the body and anatomical names. (20 min.)

See patterns and exercises.

List of words about health, sickness.

Videos .

2 1.1.2.-Parts of the body1. Speaking. Review.(10 min.): :

In pairs, practice using these patterns:“I’m having trouble with my …“Do you get any pain in the/your Chest/stomach/back?

2. Learn the most important organs and human systems. (25 min) Watching video and exercises to check

3. Mark the main organs of the body that doctors use and place them to a human system using a human body maketa. (10min.)

4. Text about examination of the abdomen with filling gaps. (15 min.)

Human body maqueta.

Text about abdomen

Information about functions or the body.

3 1.1.3.-Functions of the body1. Teacher’s introduction of functions of the body (15min.)

Table that matches function verb and nounNaming and writing symptoms using medical knowledge.

2. Watching a video or other related so students can understand human diseases (10 minutes)Exercise to practice

3. Writing o oral questions: (10 min)You think a patient may have diabetes. Think of five questions you can ask the patient to investigate further. Try to use the questions types presented in the classroom.)

4. Writing: Think of a disease and look for information: (15 minutes).

5. Speaking: (10 min.)Stick the writing disease on the blackboard, students comment on their disease

Videos Table written

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4 1.2.-Hospitals1.2.1.-Introduction to a hospital

1. Introduction to a hospital: (10 minutes)Listening

2. Reading comprehension exercises(25 minutes)

3. Look up this hospital addresses and find out the list of all treatments and specialities. (10 minutes)

4. Writing: (15 minutes) How do patients can make appointments in a hospital? How do hospitals in your country organize admissions? How would you explain the procedure to a colleague from another

Hospital Web Listening and

reading exercises

Additional information

5 1.3.-Patient admission

1.-Read this information about health facilities from the web above given and make a list of health care centres in your country (5 m.)

2.-In pairs, look at those pictures and discuss the following questions (15 minutes)

3.-Listening to patients’ admission: (10 minutes)

4.-Role-play: In pairs, Prepare nurse-patient interviews(15 minutes)

5.-Reading about Cameron’s health secrets.(15 min.)

Text about health facilities.

Dictionaries. Listening Additional forms Fill-in-the-gaps

exercises.

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ACTIVITIES:

11.1.-Introduction:1.1.1.-Health and illness:

1.-Asking about health (15 min)Health is the state of the body:

Doctors say:What is your general health like? Or how’s your health, generally?Nouns you can use if you are in good health, you are not ill:

: Healthy Fit In good health Well, very well Fit and well

Nouns you use if you are ill: Unhealthy Unfit Unwell Poorly In poor health Not very well, not well

Talking about sickness:Sickness has a similar meaning to illness. Possible meanings:

To be ill To feel unwell To vomit To feel the need to vomit To be nauseous

Talking about recovery:When patients return to normal health after illness, they have recovered.Recovery has possible meanings:

To make a full, good or complete recovery To get over an illness To get better (to improve) To remain in complete remission.

Exercises to practice these words:1.-Complete the conversation using these patterns:Doctor: How are you feeling today?

Patient:-----------------------------------------Doctor: How long have you been feeling…………..?Patient:-------------------------------------------2.-Complete the table: The first one has been done for you:

HEALTH ILLNESSFit To be ill

2.-Introducing medical words oneself orally (10 min.)

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When patients speak about their problem they often refer to a part of the body:

parts of the body Using this anatomical view, complete this table:

ANATOMICAL TERM COMMOM WORDAbdomenAxillaCarpusCubitusMammaNatespatellacoxa

Speaking: Using this pattern orally in pairs:I’m having trouble with my hip/shoulder/kneeDo you get any pain in the chest/stomach/back?

3.-Parts of the body: Learning words of different parts of the body to describe patients’ problems and pains. (15 min.)

parts of the body

4. - Writing and reading about parts of the body and anatomical names. (20 min.)Writings about: What advice do you give people for keeping fit and well? Make a list of words that doctors normally use when talking to each other.

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21.1.2.-Parts of the body

1.-Review: Speaking: (10 minutes)In pairs, practise using these patterns:“I’m having trouble with my ………………“Do you get any pain in the/your Chest/stomach/back?

Student A: you are the doctor: Mr Soy; Student B: you are the patient speaking about problems related to a part of the body

2.-Learn the most important organs and human systems: (25 min.)Trunk or Abdomen chest or thorax pelvis upper limb lower limb brain or head. Look it up in this web:

human anatomy :healthy-lifestyle.most-effective-solution.com

Students can watch this video to learn more about the abdomen and can continue watching some other videos to learn about the most important organs:

abdomen

3.-Exercices: To check what they have learnt students can practice Label the diagram using words from the box: Diaphragm lobes windpipe bronchioles airways lung

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4.-Mark the main organs of the body that doctors use and place them to a human system using a human body maketa. (10min.)

5. - Text about the abdomen with filling gaps. (15 min.)Fill the gaps with the words in this table:Abdomen diaphragm rib bony pelvis mammary

The AbdomenThe --------------is the largest cavity in the body. It is of an oval shape, the extremities of the oval being directed upward and downward. The upper extremity is formed by the ---------- which extends as a dome over the -------------, so that the cavity extends high into the ------ thorax, reaching on the right side, in the ------------------- line, to the upper border of the fifth--------; on the left side it falls below this level by about 2.5 cm. The lower extremity is formed by the structures which clothe the inner surface of the---------------, principally the Levator ani and Coccygeus on either side. These muscles are sometimes termed the diaphragm of the pelvis. The cavity is wider above than below, and measures more in the vertical than in the transverse diameter. In order to facilitate description, it is artificially divided into two parts: an upper and larger part, the ---------------------proper; and a lower and smaller part, the -------. These two cavities are not separated from each other, but the limit between them is marked by the superior aperture of the lesser -------------.The ----------------- proper differs from the other great cavities of the body in being bounded for the most part by muscles and fasciæ, so that it can vary in capacity and shape according to the condition of the viscera which it contains; but, in addition to this, the ----------varies in form and extent with age and sex. In the adult male, with moderate distension of the viscera, it is oval in shape, but at the same time flattened from before backward. In the adult female, with a fully developed ----------, it is ovoid with the narrower pole upward, and in young children it is also ovoid but with the narrower pole downward.

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31.1.3.-Functions of the body1.-Teacher’s introduction of functions of the body: (10min.)the five senses, functions of speaking, walking, breathing, urinations, defecations, menstruation, sweat, shake, crying,…; Students have to make notes and match these functions with organs

Table that matches function verb and noun:Function Verb Noun1.-Speaking Speak Speech2.-walking Walk Gait3.-breathingrespiration

Inhale/breathe in / take a breath inExhale/breathe out

Breath

4.-Urinationmicturition

UrinateMicturatePass urine/pass water

Urine

5.-defecation DefecatePass faeces/pass stools

Faecesstools

6.-menstruation MenstruateHave a period

(menstrual)period(monthly) period

Then the students have to write or speak sentences like this:When auscultating a patient’s lungs, the doctor tells the patient:“Take a deep breath in, hold your breath, then breathe out completely”

symptomsNaming and writing symptoms using medical knowledge. (5 min.)The first is done for you:Symptoms DifficultiesDysuria Pain when you pass waterDysphagiaDiplopiaDysphasiaDyspnoea

2. - Watching this video or other related so students can understand human diseases For example: (10 minutes)

the cholecystitis Exercise to practice:

Match the conditions with organs affected, using the medical knowledge(5 minutes)

1.-Hepatitis a.-Bladder2.-pnumonia b.-Gall bladder3.-nephritis c.-Heart4.-gastric ulcer d.-Kidney5.-cystitis e.-Liver6.-angina pectoris f.-Stomach7.-cholecystitis g.-Large bowel8.-ulcerative colitis h.-lung

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3.-Writing or oral questions: (10 min)You think a patient may have diabetes. Think of five questions you can ask the patient to investigate further. Try to use the questions types presented in the classroom:

Do you have any

troubledifficultyproblems

walking?breathing?passing urine?with your speech?

Pain when you breathe in?

Do you sweatshake more than usual?

Diabetes information

This text from this web can also help students to know more about diabetes:

Diabetes is a disease in which your blood glucose, or sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. With type 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood.Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.A blood test can show if you have diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your glucose level and take medicine if prescribed.

4.-Writing: (15 minutes)Think of a disease and look for information: Symptoms, parts of the body that affects, effects

Diseases information

5.-Speaking: (10min.) Stick the writing disease on the blackboard, students comment on their

disease

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41.2.-Hospitals

1.2.1.-Introduction to a hospital

1.-Introduction to a hospital: (10 minutes)Listening to words:

Hospital and health words

Now listen to the conversation: Seeing a doctor in an emergency

Hospital

And then read the text and look up for the words related to hospitals and health problems (underlined):A: I need a doctor's appointment right away!B: Is this an emergency?A: I am having trouble breathing.B: Have you had a cold lately?A: It has been going on for a few days now.B: You should hang up and dial 911.A: I don't think that this is that bad, but I need to see a doctor right away.B: Is there someone who can drive you to our Urgent Care facility on Sunset Blvd.?A: Yes, I can get a ride to Urgent Care.B: Good. When you get there, a doctor will be able to see you right away.

2.-Reading comprehension exercises (25 minutes)Read these three conversations and then answer questions:

A: The Royal Infirmary is the name of the university hospital for Edinburgh University. It is a general hospital, dealing with all types of patients and illnesses, except paediatrics. We have a specialist hospital for that in another part of Edinburgh, the Hospital for Sick Children. You can see some of the departments in our hospital on the sign. Of course, there are many others, for example the Intensive Care Unit (ICU), and the Surgical High Dependency Unit (HDU).

B: What does “outpatient” mean?

A: Outpatients are the people who come to hospital to attend a clinic or to have tests or treatment and then return home on the same day. Inpatients stay in the hospital for one or more days.The rooms where they stay are called wards. If a patient’s treatment requires only one day, such as a simple operation, they can be admitted to the day surgery unit.

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WELCOME TO THE ROYAL INFIRMARY

South entranceCar parks C&D (visitors $staff)The Simpson Centre

For Reproductive Health

1. -Gynecology (Emergency)2. -Maternity (Emergency)3. -Neonatology(Emergency)

Outpatient Departments

All Wards

Day Surgery Unit&Endoscopy X-ray Department Combined Assessment

OUTPATIENTS:A: The Accident and Emergency Department (A&E), also called Casualty, is where patients who are acutely ill- with a sudden, serious condition- come for assessment and treatment. Outpatients who have an appointment to see a specialist go to a clinic in one of the Outpatient Departments (OPDs). They have usually been referred to the hospital by their GP, who writes a referral letter to the consultant explaining the patient’s problem.

INPATIENTS

A: The inpatients in a hospital are admitted in one of three main ways. They may be seen in one of the outpatient clinics and admitted from there or, if there is a lot of demand for the treatment they need, as in the case of a hip replacement, they are put on a waiting list for admission. Alternatively, their GP may arrange the admission by telephone because they are acutely ill, for example with suspected myocardial infarction. Or they are seen in the A&E Department, where the doctor on duty-working at hat time- arranges the admission. This would happen in the case of a patient with a fractured neck or femur, for example. Larger hospitals may have an assessment unit where patients can be admitted temporarily while their condition is assessed.B: Assessed?A: Yes-decisions are made about their condition, and what needs to be done to help them. After treatment is completed, the patient is discharged back to the GP’s care.

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Exercises:Which hospital departments would be the most appropriate for the following patients?

1. A woman in diabetic coma2. A patient who has just had a radical prostatectomy3. A patient who is to have a skin lesion removed4. A man with a foreign body in his eye5. A woman with a threatened abortion

Looking at the conversations above make word combinations using a word from each box:AcutelyAssessmentOnReferralWaiting

unitletterlistdutyill

Look up the words you don’t understand at the dictionary and make a list of them.3.-Look up this hospital address and find out the list of all treatments and specialties. (10 minutes)

Hospital

4.-Writing: (15 minutes)How do patients can make appointments in a hospital?

Hospital

How do hospitals in your country organize admissions? How would you explain the procedure to a colleague from another country?

Hospital

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51.3.-Patient admission

Patient admission 1.-Read this information about health facilities from the web above given and make a list of health care centres in your country:(5 minutes)Health facilities are places that provide health care. They include hospitals, clinics, outpatient care centers and specialized care centers, such as birthing centers and psychiatric care centers.

When you choose a health facility, you might want to consider

How close it is Whether your health insurance will pay for services there Whether your health care provider can treat you there The quality of the facility

Quality is important. Some facilities do a better job than others. One way to learn about the quality of a facility is to look at report cards developed by state and consumer groups.

2.-In pairs, look at those pictures and discuss the following questions :( 15 minutes)

1. What do you think the nurses in those pictures are doing?2. What information do they need to collect in those situations?3. Why might this information be important?4. What strategies have you found useful when greeting a patient for the first

time?

Now listen to this conversation between a doctor and a patient and answer the following questions:

1. What does the patient want?2. Which is the best day to the patient?3. What seems to be the problem?4. Does she have fever?

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5. Listen again and put the following sentences in the correct order:

Fine, I am putting you down for 9:00 on that day. Would you like to see Dr. Smith or Dr. Jones?No, it just itches a lot.What seems to be the problem?I need to make an appointment to see the doctor.I have a rash that I need a doctor to look at.Do you have a fever with that rash?I would like to see Dr. Jones.I have openings on Tuesday or Wednesday. Which would be best for you?I need an appointment on Tuesday.I can schedule you with him with no problem. We look forward to seeing you.

Patient admission

3.-Listening to patients’ admission: (10 minuts)

Patient admissionIn pairs, practise taking patient details. Student A, you are the patient and Student B you are the doctor. Remember to use active listening strategies. Swap roles and practice again.

4.-Role-play. In pairs, Prepare nurse-patient interviews(15 minutes)Student A, your are the nurse; look at the Patient Admission Form and think about the questions you will ask to complete it.Student B, you are the patient; read the patient details below:

Full name Margaret VilanovaDOB 16 May 1954Octu

Reason for admission Review of a venous ulcerPast medical history Insulin-dependent diabetes mellitus

HTA/IAM four months agoPast surgical history Femoral-popliteal bypass four months ago

Medication Insulin, half an aspirin and SymptronAllergies Penicillin and codeine

Next of kin Judy AngelotiSwap roles using other patient details

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St Jaume Hospital (Patient identification Label)

PATIENT ADMISSION FORM:Patient details

Full nameDOB

Reason for admissionPast medical historyPast surgical history

MedicationAllergies

Next of kin

5.-Reading about Cameron’s health secrets.(15 min.)

Patient admission

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